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<#FormHiddenArea></#FormHiddenArea><div id="FormContent" style="width:100%;height:calc(100% - 50px);overflow-y:auto;background-color:white;margin-bottom:50px;"><div id="SDNotice" style="margin:0 auto;width:80%;"></div><div style="margin:0 10px;width:90%;height:100%;"><div class="itemCat" id="Title0" onclick="objScreen.toggle('基本信息')"><span style="background-color:#027DFF">&nbsp;&nbsp;</span>&nbsp;&nbsp;基本信息</div><div title="基本信息"><p title="适用的ICD-10编码与疾病名称" class="itemsubCat">适用的ICD-10编码与疾病名称</p><div class="itemTR" id="1463700379458940930_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-0-1-1-1" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>质控医师</div><input placeholder="点击输入" class="Text" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463700379458940930" itemCode="CM-0-1-1-1"><a id="1463700379458940930_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463700379458940930_Note"></span></div><div class="itemTR" id="1463700381673533441_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-0-1-1-2" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>质控护士</div><input placeholder="点击输入" class="Text" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463700381673533441" itemCode="CM-0-1-1-2"><a id="1463700381673533441_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463700381673533441_Note"></span></div><div class="itemTR" id="1463700385079308290_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-0-1-1-3" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>主治医师</div><input placeholder="点击输入" class="Text" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463700385079308290" itemCode="CM-0-1-1-3"><a id="1463700385079308290_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463700385079308290_Note"></span></div><div class="itemTR" id="1463700388296339458_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-0-1-1-4" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>责任护士</div><input placeholder="点击输入" class="Text" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463700388296339458" itemCode="CM-0-1-1-4"><a id="1463700388296339458_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463700388296339458_Note"></span></div><div class="itemTR" id="1463700390741618689_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-0-1-1-5" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>上报科室</div><input placeholder="点击输入" class="Text" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463700390741618689" itemCode="CM-0-1-1-5"><a id="1463700390741618689_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463700390741618689_Note"></span></div><div class="itemTR" id="1463700392788439042_Row" dic='[]'><div style="display:inline-block;width:35%;" title="caseId" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>患者病案号</div><input placeholder="点击输入" class="Text" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463700392788439042" itemCode="caseId"><a id="1463700392788439042_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463700392788439042_Note"></span></div><div class="itemTR" id="1463700395040780290_Row" dic='[]'><div style="display:inline-block;width:35%;" title="IDCard" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>患者身份证号</div><input placeholder="点击输入" class="Text" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463700395040780290" itemCode="IDCard"><a id="1463700395040780290_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463700395040780290_Note"></span></div><div class="itemTR" id="1463700397167292418_Row" dic='[{"formItemId":1463700397167292418,"isDefault":0,"updateDate":1700188822000,"code":"def","id":1463700734037012481,"indNo":1,"isActive":1,"desc":"请选择"},{"formItemId":1463700397167292418,"isDefault":0,"updateDate":1700188822000,"code":"a","id":1463700734812958722,"indNo":2,"isActive":1,"desc":"G45.0 椎基底动脉综合征"},{"formItemId":1463700397167292418,"isDefault":0,"updateDate":1700188822000,"code":"b","id":1463700735588904962,"indNo":3,"isActive":1,"desc":"G45.1 颈动脉综合征（大脑半球的）"},{"formItemId":1463700397167292418,"isDefault":0,"updateDate":1700188822000,"code":"c","id":1463700736364851202,"indNo":4,"isActive":1,"desc":"G45.2 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id="1463700397167292418_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463700397167292418_Note"></span></div><div class="itemTR" id="1463700399302193154_Row" dic='[{"formItemId":1463700399302193154,"isDefault":0,"updateDate":1700188822000,"code":"def","id":1463700741242826753,"indNo":1,"isActive":1,"desc":"请选择"},{"formItemId":1463700399302193154,"isDefault":0,"updateDate":1700188822000,"code":"a","id":1463700742786330626,"indNo":2,"isActive":1,"desc":"G45.000 椎基底动脉综合征"},{"formItemId":1463700399302193154,"isDefault":0,"updateDate":1700188822000,"code":"b","id":1463700743553888258,"indNo":3,"isActive":1,"desc":"G45.001 基底动脉尖综合征"},{"formItemId":1463700399302193154,"isDefault":0,"updateDate":1700188822000,"code":"c","id":1463700744367583234,"indNo":4,"isActive":1,"desc":"G45.002 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颈动脉闭塞综合征"},{"formItemId":1463700399302193154,"isDefault":0,"updateDate":1700188822000,"code":"j","id":1463700749102952449,"indNo":10,"isActive":1,"desc":"G45.200多发性和双侧入脑前动脉综合征"},{"formItemId":1463700399302193154,"isDefault":0,"updateDate":1700188822000,"code":"k","id":1463700749891481602,"indNo":11,"isActive":1,"desc":"G45.300 一过性黑朦"},{"formItemId":1463700399302193154,"isDefault":0,"updateDate":1700188822000,"code":"l","id":1463700750663233538,"indNo":12,"isActive":1,"desc":"G45.400 短暂性完全性遗忘"},{"formItemId":1463700399302193154,"isDefault":0,"updateDate":1700188822000,"code":"m","id":1463700751443374081,"indNo":13,"isActive":1,"desc":"G45.800 短暂性大脑缺血性发作和相关的综合征，其他的"},{"formItemId":1463700399302193154,"isDefault":0,"updateDate":1700188822000,"code":"n","id":1463700752219320322,"indNo":14,"isActive":1,"desc":"G45.800x002 无名动脉盗血综合征"},{"formItemId":1463700399302193154,"isDefault":0,"updateDate":1700188822000,"code":"o","id":1463700752986877954,"indNo":15,"isActive":1,"desc":"G45.800x003 锁骨下盗血综合征伴锁骨下动脉闭塞"},{"formItemId":1463700399302193154,"isDefault":0,"updateDate":1700188822000,"code":"p","id":1463700753787990017,"indNo":16,"isActive":1,"desc":"G45.800x004 锁骨下盗血综合征伴锁骨下动脉狭窄"},{"formItemId":1463700399302193154,"isDefault":0,"updateDate":1700188822000,"code":"q","id":1463700754563936257,"indNo":17,"isActive":1,"desc":"G45.801 锁骨下动脉盗血综合征"},{"formItemId":1463700399302193154,"isDefault":0,"updateDate":1700188822000,"code":"r","id":1463700755339882498,"indNo":18,"isActive":1,"desc":"G45.802 脑血管供血不足伴短暂性局灶性神经症状"},{"formItemId":1463700399302193154,"isDefault":0,"updateDate":1700188822000,"code":"s","id":1463700756132605954,"indNo":19,"isActive":1,"desc":"G45.900 短暂性大脑缺血性发作"},{"formItemId":1463700399302193154,"isDefault":0,"updateDate":1700188822000,"code":"t","id":1463700756912746497,"indNo":20,"isActive":1,"desc":"G45.900x001 短暂性脑缺血发作"},{"formItemId":1463700399302193154,"isDefault":0,"updateDate":1700188822000,"code":"u","id":1463700757701275650,"indNo":21,"isActive":1,"desc":"G45.901 脑动脉痉挛"}]'><div style="display:inline-block;width:35%;" title="CM-0-1-3-2" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>主要诊断ICD-10六位临床扩展编码与名称</div><input placeholder="点击选择" class="Combo" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463700399302193154" itemCode="CM-0-1-3-2"><a id="1463700399302193154_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463700399302193154_Note"></span></div><div class="itemTR" id="1463700401445482497_Row" dic='[{"formItemId":1463700401445482497,"isDefault":0,"updateDate":1700188822000,"code":"y","id":1463700759295111170,"indNo":1,"isActive":1,"desc":"是"},{"formItemId":1463700401445482497,"isDefault":1,"updateDate":1700188822000,"code":"n","id":1463700760071057410,"indNo":2,"isActive":1,"desc":"否"}]'><div style="display:inline-block;width:35%;" title="CM-0-1-5" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>是否出院后31天内重复住院</div><div class="RadioGroup" style="width:35%;border:0;display:inline-block;" id="1463700401445482497" itemCode="CM-0-1-5"></div><a id="1463700401445482497_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463700401445482497_Note"></span></div><p title="相关日期时间信息" class="itemsubCat">相关日期时间信息</p><div class="itemTR" id="1463700403567800321_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-0-2-1-1" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>出生日期</div><input placeholder="点击选择" class="Date" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463700403567800321" itemCode="CM-0-2-1-1"><a id="1463700403567800321_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463700403567800321_Note"></span></div><div class="itemTR" id="1463700405673340929_Row" dic='[{"formItemId":1463700405673340929,"isDefault":0,"updateDate":1700188822000,"code":"M","id":1463700761618755585,"indNo":1,"isActive":1,"desc":"男"},{"formItemId":1463700405673340929,"isDefault":0,"updateDate":1700188822000,"code":"F","id":1463700762801549314,"indNo":2,"isActive":1,"desc":"女"}]'><div style="display:inline-block;width:35%;" title="CM-0-2-1-2" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>患者性别</div><div class="RadioGroup" style="width:35%;border:0;display:inline-block;" id="1463700405673340929" itemCode="CM-0-2-1-2"></div><a id="1463700405673340929_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463700405673340929_Note"></span></div><div class="itemTR" id="1463700407854379010_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-0-2-1-3" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>患者体重（kg）</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463700407854379010" itemCode="CM-0-2-1-3"><a id="1463700407854379010_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463700407854379010_Note"></span></div><div class="itemTR" id="1463700409938948098_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-0-2-1-5" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>患者身高（cm）</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463700409938948098" itemCode="CM-0-2-1-5"><a id="1463700409938948098_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463700409938948098_Note"></span></div><div class="itemTR" id="1463700412023517186_Row" dic='[{"formItemId":1463700412023517186,"isDefault":0,"updateDate":1700188822000,"code":"UTD","id":1463700764437327873,"indNo":1,"isActive":1,"desc":"无法确定或无记录"}]'><div style="display:inline-block;width:35%;" title="CM-0-2-2-1" class="itemDescTD">发病日期时间是否无法确定或无记录</div><div class="CheckGroup" style="width:35%;border:0;display:inline-block;" id="1463700412023517186" itemCode="CM-0-2-2-1"></div><a id="1463700412023517186_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463700412023517186_Note"></span></div><div class="itemTR" id="1463700414179389442_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-0-2-2-2" class="itemDescTD">发病日期时间</div><input placeholder="点击选择" class="DateT" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463700414179389442" itemCode="CM-0-2-2-2"><a id="1463700414179389442_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463700414179389442_Note"></span></div><div class="itemTR" id="1463700416519811073_Row" dic='[{"formItemId":1463700416519811073,"isDefault":0,"updateDate":1700188822000,"code":"UTD","id":1463700766098272257,"indNo":1,"isActive":1,"desc":"无法确定或无记录"}]'><div style="display:inline-block;width:35%;" title="CM-0-2-3-1" class="itemDescTD">到达本院急诊或者门诊日期时间是否无法确定或无记录</div><div class="CheckGroup" style="width:35%;border:0;display:inline-block;" id="1463700416519811073" itemCode="CM-0-2-3-1"></div><a id="1463700416519811073_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463700416519811073_Note"></span></div><div class="itemTR" id="1463700418767958018_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-0-2-3-2" class="itemDescTD">到达本院急诊或者门诊日期时间</div><input placeholder="点击选择" class="DateT" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463700418767958018" itemCode="CM-0-2-3-2"><a id="1463700418767958018_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463700418767958018_Note"></span></div><div class="itemTR" id="1463700421041270786_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-0-2-4-1" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>入院日期时间</div><input placeholder="点击选择" class="DateT" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463700421041270786" itemCode="CM-0-2-4-1"><a id="1463700421041270786_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463700421041270786_Note"></span></div><div class="itemTR" id="1463700423272640514_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-0-2-4-2" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>出院日期时间</div><input placeholder="点击选择" class="DateT" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463700423272640514" itemCode="CM-0-2-4-2"><a id="1463700423272640514_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463700423272640514_Note"></span></div><p title="其他相关信息" class="itemsubCat">其他相关信息</p><div class="itemTR" id="1463700426007326721_Row" 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dic='[{"formItemId":1463700430763667457,"isDefault":0,"updateDate":1700188822000,"code":"def","id":1463700784519655425,"indNo":1,"isActive":1,"desc":"请选择"},{"formItemId":1463700430763667457,"isDefault":0,"updateDate":1700188822000,"code":"a","id":1463700785303990274,"indNo":2,"isActive":1,"desc":"救护车"},{"formItemId":1463700430763667457,"isDefault":0,"updateDate":1700188822000,"code":"b","id":1463700786075742209,"indNo":3,"isActive":1,"desc":"出租车"},{"formItemId":1463700430763667457,"isDefault":0,"updateDate":1700188822000,"code":"c","id":1463700786843299842,"indNo":4,"isActive":1,"desc":"私家车"},{"formItemId":1463700430763667457,"isDefault":0,"updateDate":1700188822000,"code":"d","id":1463700787652800514,"indNo":5,"isActive":1,"desc":"其他"}]'><div style="display:inline-block;width:35%;" title="CM-0-3-3" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>到院交通工具</div><input placeholder="点击选择" class="Combo" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463700430763667457" itemCode="CM-0-3-3"><a id="1463700430763667457_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463700430763667457_Note"></span></div></div><div class="itemCat" id="Title1" onclick="objScreen.toggle('TIA-1 患者入院病情评估')"><span style="background-color:#027DFF">&nbsp;&nbsp;</span>&nbsp;&nbsp;TIA-1 患者入院病情评估</div><div title="TIA-1 患者入院病情评估"><p title="到达急诊室,完成ABCD/2/3/3-I风险评分与分层" class="itemsubCat">到达急诊室,完成ABCD/2/3/3-I风险评分与分层</p><div class="itemTR" id="1463700432865013761_Row" dic='[]'><div style="display:inline-block;width:35%;" title="TIA-1-1-2-1" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>入院病情评估日期时间</div><input placeholder="点击选择" class="DateT" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463700432865013761" itemCode="TIA-1-1-2-1"><a id="1463700432865013761_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463700432865013761_Note"></span></div><div class="itemTR" id="1463700435171880962_Row" dic='[{"formItemId":1463700435171880962,"isDefault":0,"updateDate":1700188822000,"code":"y","id":1463700789359882241,"indNo":1,"isActive":1,"desc":"是"},{"formItemId":1463700435171880962,"isDefault":0,"updateDate":1700188822000,"code":"n","id":1463700790152605698,"indNo":2,"isActive":1,"desc":"否"}]'><div style="display:inline-block;width:35%;" title="TIA-1-1-3" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>是否实施ABCD2/3/3-I评分</div><div class="RadioGroup" style="width:35%;border:0;display:inline-block;" id="1463700435171880962" itemCode="TIA-1-1-3"></div><a id="1463700435171880962_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463700435171880962_Note"></span></div><div class="itemTR" id="1463700437315170306_Row" dic='[{"formItemId":1463700437315170306,"isDefault":0,"updateDate":1700188822000,"code":"def","id":1463700791712886786,"indNo":1,"isActive":1,"desc":"请选择"},{"formItemId":1463700437315170306,"isDefault":0,"updateDate":1700188822000,"code":"d","id":1463700792488833026,"indNo":2,"isActive":1,"desc":"实施ABCD评估分值"},{"formItemId":1463700437315170306,"isDefault":0,"updateDate":1700188822000,"code":"a","id":1463700793298333698,"indNo":3,"isActive":1,"desc":"实施ABCD2评估分值"},{"formItemId":1463700437315170306,"isDefault":0,"updateDate":1700188822000,"code":"b","id":1463700794091057154,"indNo":4,"isActive":1,"desc":"实施ABCD3评估分值"},{"formItemId":1463700437315170306,"isDefault":0,"updateDate":1700188822000,"code":"c","id":1463700794971860994,"indNo":5,"isActive":1,"desc":"实施ABCD3-I评估分值"}]'><div style="display:inline-block;width:35%;" title="TIA-1-1-4" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>选择评估分值实施类型</div><input placeholder="点击选择" class="Combo" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463700437315170306" itemCode="TIA-1-1-4"><a id="1463700437315170306_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463700437315170306_Note"></span></div><div class="itemTR" id="1463700439424905217_Row" dic='[]'><div style="display:inline-block;width:35%;" title="TIA-1-1-4-1-0" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>ABCD评估分值</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463700439424905217" itemCode="TIA-1-1-4-1-0"><a id="1463700439424905217_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463700439424905217_Note"></span></div><div class="itemTR" id="1463700441622720513_Row" dic='[]'><div style="display:inline-block;width:35%;" title="TIA-1-1-4-1-1" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>ABCD2评估分值</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463700441622720513" itemCode="TIA-1-1-4-1-1"><a id="1463700441622720513_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463700441622720513_Note"></span></div><div class="itemTR" id="1463700443753426945_Row" dic='[]'><div style="display:inline-block;width:35%;" title="TIA-1-1-4-2-1" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>ABCD3评估分值</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463700443753426945" itemCode="TIA-1-1-4-2-1"><a id="1463700443753426945_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463700443753426945_Note"></span></div><div class="itemTR" id="1463700445921882114_Row" dic='[]'><div style="display:inline-block;width:35%;" title="TIA-1-1-4-3-1" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>ABCD3-I评估分值</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463700445921882114" itemCode="TIA-1-1-4-3-1"><a id="1463700445921882114_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463700445921882114_Note"></span></div><div class="itemTR" id="1463700448094531585_Row" dic='[{"formItemId":1463700448094531585,"isDefault":0,"updateDate":1700188822000,"code":"a","id":1463700796519559170,"indNo":1,"isActive":1,"desc":"低危"},{"formItemId":1463700448094531585,"isDefault":0,"updateDate":1700188822000,"code":"b","id":1463700797324865538,"indNo":2,"isActive":1,"desc":"中危"},{"formItemId":1463700448094531585,"isDefault":0,"updateDate":1700188822000,"code":"c","id":1463700798105006081,"indNo":3,"isActive":1,"desc":"高危"}]'><div style="display:inline-block;width:35%;" title="TIA-1-1-4-5" class="itemDescTD">ABCD2/3/3-I 评估风险分层</div><input placeholder="点击选择" class="Combo" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463700448094531585" itemCode="TIA-1-1-4-5"><a id="1463700448094531585_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463700448094531585_Note"></span></div><p title="临床系统检查及评估" class="itemsubCat">临床系统检查及评估</p><div class="itemTR" id="1463700450229432322_Row" dic='[{"formItemId":1463700450229432322,"isDefault":0,"updateDate":1700188822000,"code":"y","id":1463700800663531521,"indNo":1,"isActive":1,"desc":"是"},{"formItemId":1463700450229432322,"isDefault":0,"updateDate":1700188822000,"code":"n","id":1463700801439477761,"indNo":2,"isActive":1,"desc":"否"}]'><div style="display:inline-block;width:35%;" title="TIA-1-2-1-1" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>是否实施首次头部影像学检查</div><div 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id="1463700456667688962_Row" dic='[]'><div style="display:inline-block;width:35%;" title="TIA-1-2-1-3-1" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>报告日期时间</div><input placeholder="点击选择" class="DateT" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463700456667688962" itemCode="TIA-1-2-1-3-1"><a id="1463700456667688962_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463700456667688962_Note"></span></div><div class="itemTR" id="1463700458777423873_Row" dic='[{"formItemId":1463700458777423873,"isDefault":0,"updateDate":1700188822000,"code":"y","id":1463700810159435778,"indNo":1,"isActive":1,"desc":"是"},{"formItemId":1463700458777423873,"isDefault":0,"updateDate":1700188822000,"code":"n","id":1463700810956353538,"indNo":2,"isActive":1,"desc":"否"}]'><div style="display:inline-block;width:35%;" title="TIA-1-2-2-1" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>是否实施首次全血细胞计数检查</div><div class="RadioGroup" style="width:35%;border:0;display:inline-block;" id="1463700458777423873" itemCode="TIA-1-2-2-1"></div><a id="1463700458777423873_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463700458777423873_Note"></span></div><div class="itemTR" id="1463700460899741697_Row" dic='[]'><div style="display:inline-block;width:35%;" title="TIA-1-2-2-2-1" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>报告日期时间</div><input placeholder="点击选择" class="DateT" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463700460899741697" itemCode="TIA-1-2-2-2-1"><a id="1463700460899741697_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463700460899741697_Note"></span></div><div class="itemTR" id="1463700463030448129_Row" 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class="item-source"></a><span style="margin-left:10px;" id="1463700465211486210_Note"></span></div><div class="itemTR" id="1463700467354775554_Row" dic='[]'><div style="display:inline-block;width:35%;" title="TIA-1-2-3-3-1" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>报告日期时间</div><input placeholder="点击选择" class="DateT" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463700467354775554" itemCode="TIA-1-2-3-3-1"><a id="1463700467354775554_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463700467354775554_Note"></span></div><div class="itemTR" id="1463700469477093377_Row" dic='[{"formItemId":1463700469477093377,"isDefault":0,"updateDate":1700188822000,"code":"y","id":1463700819185577985,"indNo":1,"isActive":1,"desc":"是"},{"formItemId":1463700469477093377,"isDefault":0,"updateDate":1700188822000,"code":"n","id":1463700819961524225,"indNo":2,"isActive":1,"desc":"否"}]'><div style="display:inline-block;width:35%;" title="TIA-1-2-4-1" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>是否实施首次生化检验检查</div><div class="RadioGroup" style="width:35%;border:0;display:inline-block;" id="1463700469477093377" itemCode="TIA-1-2-4-1"></div><a id="1463700469477093377_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463700469477093377_Note"></span></div><div class="itemTR" id="1463700471591022593_Row" dic='[{"formItemId":1463700471591022593,"isDefault":0,"updateDate":1700188822000,"code":"a","id":1463700821630857217,"indNo":1,"isActive":1,"desc":"快速血糖"},{"formItemId":1463700471591022593,"isDefault":0,"updateDate":1700188822000,"code":"b","id":1463700822410997762,"indNo":2,"isActive":1,"desc":"血电解质"},{"formItemId":1463700471591022593,"isDefault":0,"updateDate":1700188822000,"code":"c","id":1463700823203721217,"indNo":3,"isActive":1,"desc":"其他生化项目"}]'><div style="display:inline-block;width:35%;" title="TIA-1-2-4-2-1" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>生化检验项目</div><div class="CheckGroup" style="width:35%;border:0;display:inline-block;" id="1463700471591022593" itemCode="TIA-1-2-4-2-1"></div><a id="1463700471591022593_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463700471591022593_Note"></span></div><div class="itemTR" id="1463700474761916417_Row" dic='[]'><div style="display:inline-block;width:35%;" title="TIA-1-2-4-3-1" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>报告日期时间</div><input placeholder="点击选择" class="DateT" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463700474761916417" itemCode="TIA-1-2-4-3-1"><a id="1463700474761916417_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463700474761916417_Note"></span></div><div class="itemTR" id="1463700477060395009_Row" dic='[{"formItemId":1463700477060395009,"isDefault":0,"updateDate":1700188822000,"code":"y","id":1463700824822722562,"indNo":1,"isActive":1,"desc":"是"},{"formItemId":1463700477060395009,"isDefault":0,"updateDate":1700188822000,"code":"n","id":1463700825649000450,"indNo":2,"isActive":1,"desc":"否"}]'><div style="display:inline-block;width:35%;" title="TIA-1-2-5-1" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>是否实施首次ECG检查</div><div class="RadioGroup" style="width:35%;border:0;display:inline-block;" id="1463700477060395009" itemCode="TIA-1-2-5-1"></div><a id="1463700477060395009_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463700477060395009_Note"></span></div><div class="itemTR" id="1463700479266598913_Row" dic='[]'><div style="display:inline-block;width:35%;" title="TIA-1-2-5-2-1" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>报告日期时间</div><input placeholder="点击选择" class="DateT" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463700479266598913" itemCode="TIA-1-2-5-2-1"><a id="1463700479266598913_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463700479266598913_Note"></span></div><div class="itemTR" id="1463700481380528130_Row" dic='[{"formItemId":1463700481380528130,"isDefault":0,"updateDate":1700188822000,"code":"def","id":1463700827221864449,"indNo":1,"isActive":1,"desc":"请选择"},{"formItemId":1463700481380528130,"isDefault":0,"updateDate":1700188822000,"code":"a","id":1463700828006199298,"indNo":2,"isActive":1,"desc":"房颤/房扑"},{"formItemId":1463700481380528130,"isDefault":0,"updateDate":1700188822000,"code":"b","id":1463700828782145538,"indNo":5,"isActive":1,"desc":"新发LBBB/RBBB"},{"formItemId":1463700481380528130,"isDefault":0,"updateDate":1700188822000,"code":"c","id":1463700829545508865,"indNo":3,"isActive":1,"desc":"心肌梗死（STEMI）"},{"formItemId":1463700481380528130,"isDefault":0,"updateDate":1700188822000,"code":"d","id":1463700830325649409,"indNo":4,"isActive":1,"desc":"心肌梗死（ESTEMI）"},{"formItemId":1463700481380528130,"isDefault":0,"updateDate":1700188822000,"code":"oth","id":1463700831097401346,"indNo":6,"isActive":1,"desc":"其他"},{"formItemId":1463700481380528130,"isDefault":0,"updateDate":1700188822000,"code":"f","id":1463700831881736194,"indNo":7,"isActive":1,"desc":"正常ECG"}]'><div style="display:inline-block;width:35%;" title="TIA-1-2-5-3" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>心电图（ECG）检查结果</div><input placeholder="点击选择" class="Combo" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463700481380528130" itemCode="TIA-1-2-5-3"><a id="1463700481380528130_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463700481380528130_Note"></span></div><div class="itemTR" id="1463700483473485825_Row" dic='[]'><div style="display:inline-block;width:35%;" title="TIA-1-2-5-4" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>心电图检查其他结果</div><input placeholder="点击输入" class="Text" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463700483473485825" itemCode="TIA-1-2-5-4"><a id="1463700483473485825_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463700483473485825_Note"></span></div><div class="itemTR" id="1463700485641940994_Row" dic='[{"formItemId":1463700485641940994,"isDefault":0,"updateDate":1700188822000,"code":"y","id":1463700833601400833,"indNo":1,"isActive":1,"desc":"是"},{"formItemId":1463700485641940994,"isDefault":0,"updateDate":1700188822000,"code":"n","id":1463700835543363585,"indNo":2,"isActive":1,"desc":"否"}]'><div style="display:inline-block;width:35%;" title="TIA-1-2-6-1" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>是否实施首次心脏与血管检查</div><div class="RadioGroup" style="width:35%;border:0;display:inline-block;" id="1463700485641940994" itemCode="TIA-1-2-6-1"></div><a id="1463700485641940994_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463700485641940994_Note"></span></div><div class="itemTR" id="1463700487818784770_Row" dic='[{"formItemId":1463700487818784770,"isDefault":0,"updateDate":1700188822000,"code":"a","id":1463700837133004802,"indNo":1,"isActive":1,"desc":"长程心电监测"},{"formItemId":1463700487818784770,"isDefault":0,"updateDate":1700188822000,"code":"b","id":1463700838315798530,"indNo":2,"isActive":1,"desc":"24小时动态心电监测 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id="1463700487818784770" itemCode="TIA-1-2-6-3"></div><a id="1463700487818784770_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463700487818784770_Note"></span></div><div class="itemTR" id="1463700489945296897_Row" dic='[]'><div style="display:inline-block;width:35%;" title="TIA-1-2-6-3-1" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>其他心脏检查项目</div><input placeholder="点击输入" class="Text" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463700489945296897" itemCode="TIA-1-2-6-3-1"><a id="1463700489945296897_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463700489945296897_Note"></span></div><div class="itemTR" id="1463700492038254593_Row" dic='[{"formItemId":1463700492038254593,"isDefault":0,"updateDate":1700188822000,"code":"a","id":1463700843327991810,"indNo":1,"isActive":1,"desc":"头颈部CT血管成像（CTA）"},{"formItemId":1463700492038254593,"isDefault":0,"updateDate":1700188822000,"code":"b","id":1463700844137492482,"indNo":2,"isActive":1,"desc":"头颈部磁共振血管成像（MRA）"},{"formItemId":1463700492038254593,"isDefault":0,"updateDate":1700188822000,"code":"c","id":1463700844926021634,"indNo":3,"isActive":1,"desc":"头颈部数字减影血管造影（DSA）"},{"formItemId":1463700492038254593,"isDefault":0,"updateDate":1700188822000,"code":"d","id":1463700845718745090,"indNo":4,"isActive":1,"desc":"经颅多普勒超声（TCD）"},{"formItemId":1463700492038254593,"isDefault":0,"updateDate":1700188822000,"code":"e","id":1463700846624714753,"indNo":5,"isActive":1,"desc":"颈动脉超声"},{"formItemId":1463700492038254593,"isDefault":0,"updateDate":1700188822000,"code":"oth","id":1463700847400660994,"indNo":6,"isActive":1,"desc":"其他"},{"formItemId":1463700492038254593,"isDefault":0,"updateDate":1700188822000,"code":"f","id":1463700848172412930,"indNo":7,"isActive":1,"desc":"未做血管相关检查"}]'><div style="display:inline-block;width:35%;" title="TIA-1-2-6-5" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>血管检查相关项目选择</div><div class="CheckGroup" style="width:35%;border:0;display:inline-block;" id="1463700492038254593" itemCode="TIA-1-2-6-5"></div><a id="1463700492038254593_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463700492038254593_Note"></span></div><div class="itemTR" id="1463700494181543938_Row" dic='[]'><div style="display:inline-block;width:35%;" title="TIA-1-2-6-5-1" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>其他血管检查相关项目</div><input placeholder="点击输入" class="Text" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463700494181543938" itemCode="TIA-1-2-6-5-1"><a id="1463700494181543938_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463700494181543938_Note"></span></div><div class="itemTR" id="1463700496266113025_Row" dic='[]'><div style="display:inline-block;width:35%;" title="TIA-1-2-6-2-1" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>首次报告日期时间</div><input placeholder="点击选择" class="DateT" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463700496266113025" itemCode="TIA-1-2-6-2-1"><a id="1463700496266113025_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463700496266113025_Note"></span></div><div class="itemTR" id="1463700498388430849_Row" dic='[{"formItemId":1463700498388430849,"isDefault":0,"updateDate":1700188822000,"code":"a","id":1463700849820774401,"indNo":1,"isActive":1,"desc":"卵圆孔未闭"},{"formItemId":1463700498388430849,"isDefault":0,"updateDate":1700188822000,"code":"g","id":1463700850600914945,"indNo":2,"isActive":1,"desc":"大动脉粥样硬化"},{"formItemId":1463700498388430849,"isDefault":0,"updateDate":1700188822000,"code":"c","id":1463700851414609921,"indNo":3,"isActive":1,"desc":"瓣膜病"},{"formItemId":1463700498388430849,"isDefault":0,"updateDate":1700188822000,"code":"d","id":1463700852182167553,"indNo":4,"isActive":1,"desc":"心脏疾病"},{"formItemId":1463700498388430849,"isDefault":0,"updateDate":1700188822000,"code":"oth","id":1463700852958113794,"indNo":5,"isActive":1,"desc":"其他"},{"formItemId":1463700498388430849,"isDefault":0,"updateDate":1700188822000,"code":"e","id":1463700853809557506,"indNo":6,"isActive":1,"desc":"无阳性发现"}]'><div style="display:inline-block;width:35%;" title="TIA-1-2-6-4" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>评估结论</div><div class="CheckGroup" style="width:35%;border:0;display:inline-block;" id="1463700498388430849" itemCode="TIA-1-2-6-4"></div><a id="1463700498388430849_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463700498388430849_Note"></span></div><div class="itemTR" id="1463700500468805633_Row" dic='[]'><div style="display:inline-block;width:35%;" title="TIA-1-2-6-4-1" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>其他评估结论</div><input placeholder="点击输入" class="Text" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463700500468805633" itemCode="TIA-1-2-6-4-1"><a id="1463700500468805633_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463700500468805633_Note"></span></div></div><div class="itemCat" id="Title2" onclick="objScreen.toggle('TIA-2房颤患者的抗凝治疗')"><span style="background-color:#027DFF">&nbsp;&nbsp;</span>&nbsp;&nbsp;TIA-2房颤患者的抗凝治疗</div><div title="TIA-2房颤患者的抗凝治疗"><p title="一般信息" class="itemsubCat">一般信息</p><div class="itemTR" id="1463700504742801410_Row" dic='[{"formItemId":1463700504742801410,"isDefault":0,"updateDate":1700188822000,"code":"def","id":1463700860352671746,"indNo":1,"isActive":1,"desc":"请选择"},{"formItemId":1463700504742801410,"isDefault":0,"updateDate":1700188822000,"code":"a","id":1463700861141200897,"indNo":2,"isActive":1,"desc":"急诊/或入院后首次心电图（ECG）诊断有房颤/房扑"},{"formItemId":1463700504742801410,"isDefault":0,"updateDate":1700188822000,"code":"b","id":1463700861933924353,"indNo":3,"isActive":1,"desc":"住院病历记录既往有房颤/房扑,使用抗凝药物史"},{"formItemId":1463700504742801410,"isDefault":0,"updateDate":1700188822000,"code":"c","id":1463700862739230722,"indNo":4,"isActive":1,"desc":"既往无房颤/房扑史"},{"formItemId":1463700504742801410,"isDefault":0,"updateDate":1700188822000,"code":"UTD","id":1491953747536941057,"indNo":5,"isActive":1,"desc":"无法确定或无记录"}]'><div style="display:inline-block;width:35%;" title="TIA-2-1-1-1" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>房颤患者</div><input placeholder="点击选择" class="Combo" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463700504742801410" itemCode="TIA-2-1-1-1"><a id="1463700504742801410_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463700504742801410_Note"></span></div><div class="itemTR" id="1463700506886090753_Row" dic='[{"formItemId":1463700506886090753,"isDefault":0,"updateDate":1700188822000,"code":"y","id":1463700864328871938,"indNo":2,"isActive":1,"desc":"是"},{"formItemId":1463700506886090753,"isDefault":0,"updateDate":1700188822000,"code":"n","id":1463700865121595394,"indNo":3,"isActive":1,"desc":"否"},{"formItemId":1463700506886090753,"isDefault":0,"updateDate":1700188822000,"code":"UTD","id":1491953747545329665,"indNo":1,"isActive":1,"desc":"不确定"}]'><div style="display:inline-block;width:35%;" title="TIA-2-1-1" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>是否实施房颤患者脑卒中风险评估（CHA2DS2-VASc评分）</div><input placeholder="点击选择" class="Combo" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463700506886090753" itemCode="TIA-2-1-1"><a id="1463700506886090753_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463700506886090753_Note"></span></div><div class="itemTR" id="1463700509109071873_Row" dic='[]'><div style="display:inline-block;width:35%;" title="TIA-2-1-2-1" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>房颤患者脑卒中风险评估分值</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463700509109071873" itemCode="TIA-2-1-2-1"><a id="1463700509109071873_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463700509109071873_Note"></span></div><div class="itemTR" id="1491953743552352257_Row" dic='[{"formItemId":1491953743552352257,"isDefault":0,"updateDate":1700188822000,"code":"UTD","id":1491953747562106881,"indNo":1,"isActive":1,"desc":"不确定"},{"formItemId":1491953743552352257,"isDefault":0,"updateDate":1700188822000,"code":"y","id":1491953747566301186,"indNo":2,"isActive":1,"desc":"是"},{"formItemId":1491953743552352257,"isDefault":0,"updateDate":1700188822000,"code":"n","id":1491953747570495489,"indNo":3,"isActive":1,"desc":"否"}]'><div style="display:inline-block;width:35%;" title="TIA-2-5-1" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>是否实施房颤鉴别STAF评分</div><input placeholder="点击选择" class="Combo" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1491953743552352257" itemCode="TIA-2-5-1"><a id="1491953743552352257_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1491953743552352257_Note"></span></div><div class="itemTR" id="1491953743573323777_Row" dic='[]'><div style="display:inline-block;width:35%;" title="TIA-2-5-2" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>房颤鉴别STAF评分值(≥5分时心源性卒中可能性大)</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1491953743573323777" itemCode="TIA-2-5-2"><a id="1491953743573323777_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1491953743573323777_Note"></span></div><div class="itemTR" id="1491953743594295297_Row" dic='[{"formItemId":1491953743594295297,"isDefault":0,"updateDate":1700188822000,"code":"UTD","id":1491953747578884098,"indNo":1,"isActive":1,"desc":"不确定"},{"formItemId":1491953743594295297,"isDefault":0,"updateDate":1700188822000,"code":"y","id":1491953747583078402,"indNo":2,"isActive":1,"desc":"是"},{"formItemId":1491953743594295297,"isDefault":0,"updateDate":1700188822000,"code":"n","id":1491953747587272706,"indNo":3,"isActive":1,"desc":"否"}]'><div style="display:inline-block;width:35%;" title="TIA-2-6-1" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>是否实施房颤抗凝出血风险评估HAS-BLED评分值</div><input placeholder="点击选择" class="Combo" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1491953743594295297" itemCode="TIA-2-6-1"><a id="1491953743594295297_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1491953743594295297_Note"></span></div><div class="itemTR" id="1491953743615266817_Row" dic='[]'><div style="display:inline-block;width:35%;" title="TIA-2-6-2" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>房颤抗凝出血风险评估HAS-BLED评分值</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1491953743615266817" itemCode="TIA-2-6-2"><a id="1491953743615266817_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1491953743615266817_Note"></span></div><div class="itemTR" id="1463700515484413953_Row" dic='[{"formItemId":1463700515484413953,"isDefault":0,"updateDate":1700188822000,"code":"y","id":1463700874139348994,"indNo":2,"isActive":1,"desc":"是"},{"formItemId":1463700515484413953,"isDefault":0,"updateDate":1700188822000,"code":"n","id":1463700874932072449,"indNo":3,"isActive":1,"desc":"否"},{"formItemId":1463700515484413953,"isDefault":0,"updateDate":1700188822000,"code":"UTD","id":1491953747620827138,"indNo":1,"isActive":1,"desc":"不确定"}]'><div style="display:inline-block;width:35%;" title="TIA-2-3-1" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>是否有使用抗凝药物的禁忌症</div><input placeholder="点击选择" class="Combo" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463700515484413953" itemCode="TIA-2-3-1"><a id="1463700515484413953_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463700515484413953_Note"></span></div><div class="itemTR" id="1463700517589954562_Row" dic='[{"formItemId":1463700517589954562,"isDefault":0,"updateDate":1700188822000,"code":"a","id":1463700876488159234,"indNo":1,"isActive":1,"desc":"有出血疾病或出血倾向者：如脑出血、出血性脑梗死、活动性溃疡病、活动性肺结核等"},{"formItemId":1463700517589954562,"isDefault":0,"updateDate":1700188822000,"code":"b","id":1463700877259911169,"indNo":2,"isActive":1,"desc":"外科手术后：如脑、骨科手术后7~10天以内"},{"formItemId":1463700517589954562,"isDefault":0,"updateDate":1700188822000,"code":"c","id":1463700878040051713,"indNo":3,"isActive":1,"desc":"妊娠、分娩及产后"},{"formItemId":1463700517589954562,"isDefault":0,"updateDate":1700188822000,"code":"d","id":1463700878929244162,"indNo":4,"isActive":1,"desc":"严重肝、肾、心脏功能不良者"},{"formItemId":1463700517589954562,"isDefault":0,"updateDate":1700188822000,"code":"e","id":1463700879730356225,"indNo":5,"isActive":1,"desc":"恶病质、恶性高血压"},{"formItemId":1463700517589954562,"isDefault":0,"updateDate":1700188822000,"code":"oth","id":1463700880548245505,"indNo":6,"isActive":1,"desc":"其他：严重创伤、血管瘤、严重感染、药物过敏者"},{"formItemId":1463700517589954562,"isDefault":0,"updateDate":1700188822000,"code":"f","id":1463700881315803138,"indNo":7,"isActive":1,"desc":"条件限制不能做凝血时间及凝血酶原时间检测者"}]'><div style="display:inline-block;width:35%;" title="TIA-2-3-2" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>使用抗凝药物的禁忌症</div><div class="CheckGroup" style="width:35%;border:0;display:inline-block;" id="1463700517589954562" itemCode="TIA-2-3-2"></div><a id="1463700517589954562_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463700517589954562_Note"></span></div><div class="itemTR" id="1463700519716466689_Row" dic='[{"formItemId":1463700519716466689,"isDefault":0,"updateDate":1700188822000,"code":"y","id":1463700882959970305,"indNo":2,"isActive":1,"desc":"是"},{"formItemId":1463700519716466689,"isDefault":0,"updateDate":1700188822000,"code":"n","id":1463700883886911490,"indNo":3,"isActive":1,"desc":"否"},{"formItemId":1463700519716466689,"isDefault":0,"updateDate":1700188822000,"code":"UTD","id":1491953747708907522,"indNo":1,"isActive":1,"desc":"不确定"}]'><div style="display:inline-block;width:35%;" title="TIA-2-4-1" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>是否常用抗凝药物</div><input placeholder="点击选择" class="Combo" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463700519716466689" itemCode="TIA-2-4-1"><a id="1463700519716466689_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463700519716466689_Note"></span></div><div class="itemTR" id="1463700521926864898_Row" dic='[{"formItemId":1463700521926864898,"isDefault":0,"updateDate":1700188822000,"code":"def","id":1463700885451386882,"indNo":1,"isActive":1,"desc":"请选择"},{"formItemId":1463700521926864898,"isDefault":0,"updateDate":1700188822000,"code":"a","id":1463700886239916033,"indNo":2,"isActive":1,"desc":"华法林"},{"formItemId":1463700521926864898,"isDefault":0,"updateDate":1700188822000,"code":"b","id":1463700887179440130,"indNo":3,"isActive":1,"desc":"达比加群酯"},{"formItemId":1463700521926864898,"isDefault":0,"updateDate":1700188822000,"code":"c","id":1463700887997329410,"indNo":4,"isActive":1,"desc":"阿哌沙班"},{"formItemId":1463700521926864898,"isDefault":0,"updateDate":1700188822000,"code":"d","id":1463700888777469954,"indNo":5,"isActive":1,"desc":"利伐沙班"},{"formItemId":1463700521926864898,"isDefault":0,"updateDate":1700188822000,"code":"e","id":1463700889557610497,"indNo":6,"isActive":1,"desc":"普通肝素"},{"formItemId":1463700521926864898,"isDefault":0,"updateDate":1700188822000,"code":"f","id":1463700890333556737,"indNo":7,"isActive":1,"desc":"低分子肝素"},{"formItemId":1463700521926864898,"isDefault":0,"updateDate":1700188822000,"code":"oth","id":1463700891193389058,"indNo":8,"isActive":1,"desc":"其他"}]'><div style="display:inline-block;width:35%;" title="TIA-2-4-2" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>选择抗凝药物</div><input placeholder="点击选择" class="Combo" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463700521926864898" itemCode="TIA-2-4-2"><a id="1463700521926864898_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463700521926864898_Note"></span></div><div class="itemTR" id="1491953743762067458_Row" dic='[]'><div style="display:inline-block;width:35%;" title="TIA-2-4-2-1" class="itemDescTD">选择其他抗凝药物</div><input placeholder="点击输入" class="Text" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1491953743762067458" itemCode="TIA-2-4-2-1"><a id="1491953743762067458_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1491953743762067458_Note"></span></div><div class="itemTR" id="1463700524103708673_Row" dic='[]'><div style="display:inline-block;width:35%;" title="TIA-2-4-3" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>用药日期时间</div><input placeholder="点击选择" class="Date" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463700524103708673" itemCode="TIA-2-4-3"><a id="1463700524103708673_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463700524103708673_Note"></span></div></div><div class="itemCat" id="Title3" onclick="objScreen.toggle('TIA-3双联抗血小板药物使用情况')"><span style="background-color:#027DFF">&nbsp;&nbsp;</span>&nbsp;&nbsp;TIA-3双联抗血小板药物使用情况</div><div title="TIA-3双联抗血小板药物使用情况"><p title="具有高卒中复发风险因素" class="itemsubCat">具有高卒中复发风险因素</p><div class="itemTR" id="1463700526213443585_Row" dic='[{"formItemId":1463700526213443585,"isDefault":0,"updateDate":1700188822000,"code":"def","id":1463700892791418882,"indNo":1,"isActive":1,"desc":"请选择"},{"formItemId":1463700526213443585,"isDefault":0,"updateDate":1700188822000,"code":"a","id":1463700893584142338,"indNo":2,"isActive":1,"desc":"有高卒中复发风险（ABCD2评分≥4分）的急性非心源性TIA（根据24h时间定义）"},{"formItemId":1463700526213443585,"isDefault":0,"updateDate":1700188822000,"code":"b","id":1463700894360088577,"indNo":3,"isActive":1,"desc":"轻型卒中（NIHSS评分≤3分）急性期患者（起病24h内）"},{"formItemId":1463700526213443585,"isDefault":0,"updateDate":1700188822000,"code":"oth","id":1463700895136034818,"indNo":4,"isActive":1,"desc":"其他"}]'><div style="display:inline-block;width:35%;" title="TIA-3-1-1-1" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>高卒中复发风险因素</div><input placeholder="点击选择" class="Combo" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463700526213443585" itemCode="TIA-3-1-1-1"><a id="1463700526213443585_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463700526213443585_Note"></span></div><div class="itemTR" id="1463700528339955713_Row" dic='[]'><div style="display:inline-block;width:35%;" title="TIA-3-1-1-2" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>其他高卒中复发风险因素</div><input placeholder="点击输入" class="Text" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463700528339955713" itemCode="TIA-3-1-1-2"><a id="1463700528339955713_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463700528339955713_Note"></span></div><p title="使用双联抗血小板药物禁忌症" class="itemsubCat">使用双联抗血小板药物禁忌症</p><div class="itemTR" id="1463700530579714049_Row" dic='[{"formItemId":1463700530579714049,"isDefault":0,"updateDate":1700188822000,"code":"y","id":1463700896864088065,"indNo":1,"isActive":1,"desc":"是"},{"formItemId":1463700530579714049,"isDefault":0,"updateDate":1700188822000,"code":"n","id":1463700897820389377,"indNo":2,"isActive":1,"desc":"否"}]'><div style="display:inline-block;width:35%;" title="TIA-3-1-1" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>是否有使用阿司匹林禁忌症</div><div class="RadioGroup" style="width:35%;border:0;display:inline-block;" id="1463700530579714049" itemCode="TIA-3-1-1"></div><a id="1463700530579714049_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463700530579714049_Note"></span></div><div class="itemTR" id="1463700532769140738_Row" dic='[{"formItemId":1463700532769140738,"isDefault":0,"updateDate":1700188822000,"code":"def","id":1463700899451973634,"indNo":1,"isActive":1,"desc":"请选择"},{"formItemId":1463700532769140738,"isDefault":0,"updateDate":1700188822000,"code":"a","id":1463700900257280001,"indNo":2,"isActive":1,"desc":"阿司匹林过敏，尿酸高"},{"formItemId":1463700532769140738,"isDefault":0,"updateDate":1700188822000,"code":"b","id":1463700901133889537,"indNo":3,"isActive":1,"desc":"到达医院时或到达医院后24小时内活动性出血"},{"formItemId":1463700532769140738,"isDefault":0,"updateDate":1700188822000,"code":"c","id":1463700901943390209,"indNo":4,"isActive":1,"desc":"华法林作为预防用药"},{"formItemId":1463700532769140738,"isDefault":0,"updateDate":1700188822000,"code":"d","id":1463700902715142146,"indNo":5,"isActive":1,"desc":"医师记录有不给予阿司匹林的其他原因"}]'><div style="display:inline-block;width:35%;" title="TIA-3-1-2" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>阿司匹林禁忌症</div><input placeholder="点击选择" class="Combo" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463700532769140738" itemCode="TIA-3-1-2"><a id="1463700532769140738_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463700532769140738_Note"></span></div><p title="入院后首剂双联抗血小板药物给予时间" class="itemsubCat">入院后首剂双联抗血小板药物给予时间</p><div class="itemTR" id="1463700535084396545_Row" dic='[{"formItemId":1463700535084396545,"isDefault":0,"updateDate":1700188822000,"code":"y","id":1463700904363503618,"indNo":1,"isActive":1,"desc":"是"},{"formItemId":1463700535084396545,"isDefault":0,"updateDate":1700188822000,"code":"n","id":1463700905135255554,"indNo":2,"isActive":1,"desc":"否"}]'><div style="display:inline-block;width:35%;" title="TIA-3-2-1" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>患者是否使用首剂阿司匹林/氯吡格雷</div><div class="RadioGroup" style="width:35%;border:0;display:inline-block;" id="1463700535084396545" itemCode="TIA-3-2-1"></div><a id="1463700535084396545_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463700535084396545_Note"></span></div><div class="itemTR" id="1463700537634533378_Row" dic='[]'><div style="display:inline-block;width:35%;" title="TIA-3-2-2-1" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>用药日期时间</div><input placeholder="点击选择" class="Date" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463700537634533378" itemCode="TIA-3-2-2-1"><a id="1463700537634533378_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463700537634533378_Note"></span></div><p title="选择双联抗血小板药物" class="itemsubCat">选择双联抗血小板药物</p><div class="itemTR" id="1463700539903651841_Row" dic='[{"formItemId":1463700539903651841,"isDefault":0,"updateDate":1700188822000,"code":"d","id":1463700906708119553,"indNo":2,"isActive":1,"desc":"阿司匹林＋氯吡格雷"},{"formItemId":1463700539903651841,"isDefault":0,"updateDate":1700188822000,"code":"e","id":1463700907492454401,"indNo":3,"isActive":1,"desc":"阿司匹林＋替格瑞洛"},{"formItemId":1463700539903651841,"isDefault":0,"updateDate":1700188822000,"code":"oth","id":1463700908322926594,"indNo":4,"isActive":1,"desc":"其他双联抗血小板药物"},{"formItemId":1463700539903651841,"isDefault":0,"updateDate":1700188822000,"code":"UTD","id":1463700909191147521,"indNo":5,"isActive":1,"desc":"无法确定或无记录"},{"formItemId":1463700539903651841,"isDefault":0,"updateDate":1700188822000,"code":"def","id":1491953747956371458,"indNo":1,"isActive":1,"desc":"请选择"}]'><div style="display:inline-block;width:35%;" title="TIA-3-3-2" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>选择药物</div><input placeholder="点击选择" class="Combo" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463700539903651841" itemCode="TIA-3-3-2"><a id="1463700539903651841_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463700539903651841_Note"></span></div><div class="itemTR" id="1463700542042746881_Row" dic='[]'><div style="display:inline-block;width:35%;" title="TIA-3-3-1" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>其他抗血小板药物</div><input placeholder="点击输入" class="Text" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463700542042746881" itemCode="TIA-3-3-1"><a id="1463700542042746881_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463700542042746881_Note"></span></div></div><div class="itemCat" id="Title4" onclick="objScreen.toggle('TIA-4 评价血脂水平')"><span style="background-color:#027DFF">&nbsp;&nbsp;</span>&nbsp;&nbsp;TIA-4 评价血脂水平</div><div title="TIA-4 评价血脂水平"><p title="入院后首次血脂水平评估时间" class="itemsubCat">入院后首次血脂水平评估时间</p><div class="itemTR" id="1463700544139898881_Row" dic='[{"formItemId":1463700544139898881,"isDefault":0,"updateDate":1700188822000,"code":"def","id":1463700911086972929,"indNo":1,"isActive":1,"desc":"请选择"},{"formItemId":1463700544139898881,"isDefault":0,"updateDate":1700188822000,"code":"a","id":1463700911854530561,"indNo":2,"isActive":1,"desc":"入院前30天内已经做过血脂水平评估"},{"formItemId":1463700544139898881,"isDefault":0,"updateDate":1700188822000,"code":"b","id":1463700912622088194,"indNo":3,"isActive":1,"desc":"入院后首次血脂水平评估时间"}]'><div style="display:inline-block;width:35%;" title="TIA-4-1-1" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>患者评估时机选择</div><input placeholder="点击选择" class="Combo" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463700544139898881" itemCode="TIA-4-1-1"><a id="1463700544139898881_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463700544139898881_Note"></span></div><div class="itemTR" id="1463700546333519873_Row" dic='[]'><div style="display:inline-block;width:35%;" title="TIA-4-1-2-1" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>评估日期</div><input placeholder="点击选择" class="Date" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463700546333519873" itemCode="TIA-4-1-2-1"><a id="1463700546333519873_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463700546333519873_Note"></span></div><p title="选择血脂评估项目" class="itemsubCat">选择血脂评估项目</p><div class="itemTR" id="1463700548564889601_Row" 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class="itemDescTD"><span name="isNeeded" style="color:red">*</span>选择血脂评估项目</div><div class="CheckGroup" style="width:35%;border:0;display:inline-block;" id="1463700548564889601" itemCode="TIA-4-2-1"></div><a id="1463700548564889601_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463700548564889601_Note"></span></div><p title="评价血脂水平" class="itemsubCat">评价血脂水平</p><div class="itemTR" id="1463700550808842241_Row" 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class="item-source"></a><span style="margin-left:10px;" id="1463700550808842241_Note"></span></div><p title="降脂治疗医嘱" class="itemsubCat">降脂治疗医嘱</p><div class="itemTR" id="1463700553048600578_Row" dic='[{"formItemId":1463700553048600578,"isDefault":0,"updateDate":1700188822000,"code":"y","id":1463700924651352065,"indNo":1,"isActive":1,"desc":"是"},{"formItemId":1463700553048600578,"isDefault":0,"updateDate":1700188822000,"code":"n","id":1463700925456658433,"indNo":2,"isActive":1,"desc":"否"}]'><div style="display:inline-block;width:35%;" title="TIA-4-4-0" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>是否使用他汀类药物</div><div class="RadioGroup" style="width:35%;border:0;display:inline-block;" id="1463700553048600578" itemCode="TIA-4-4-0"></div><a id="1463700553048600578_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463700553048600578_Note"></span></div><div class="itemTR" id="1463700555166724097_Row" dic='[]'><div style="display:inline-block;width:35%;" title="TIA-4-4-1-1" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>首次使用他汀类医嘱的日期</div><input placeholder="点击选择" class="Date" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463700555166724097" itemCode="TIA-4-4-1-1"><a id="1463700555166724097_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463700555166724097_Note"></span></div><div class="itemTR" id="1463700557343567873_Row" 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style="display:inline-block;width:35%;" title="TIA-5-1" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>选择抗血小扳聚集治疗药物</div><div class="CheckGroup" style="width:35%;border:0;display:inline-block;" id="1463700559537188866" itemCode="TIA-5-1"></div><a id="1463700559537188866_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463700559537188866_Note"></span></div><div class="itemTR" id="1463700561688866817_Row" dic='[]'><div style="display:inline-block;width:35%;" title="TIA-5-1-1" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>其他抗血小扳聚集治疗药物</div><input placeholder="点击输入" class="Text" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463700561688866817" itemCode="TIA-5-1-1"><a id="1463700561688866817_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463700561688866817_Note"></span></div><div class="itemTR" 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style="display:inline-block;width:35%;" title="TIA-5-3" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>选择抗凝药物</div><input placeholder="点击选择" class="Combo" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463700568005488641" itemCode="TIA-5-3"><a id="1463700568005488641_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463700568005488641_Note"></span></div><div class="itemTR" id="1463700570140389378_Row" dic='[]'><div style="display:inline-block;width:35%;" title="TIA-5-3-1" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>选择其他抗凝药物</div><input placeholder="点击输入" class="Text" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463700570140389378" itemCode="TIA-5-3-1"><a id="1463700570140389378_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463700570140389378_Note"></span></div><div 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style="display:inline-block;width:35%;" title="TIA-5-4" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>选择降糖药物</div><div class="CheckGroup" style="width:35%;border:0;display:inline-block;" id="1463700574326304770" itemCode="TIA-5-4"></div><a id="1463700574326304770_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463700574326304770_Note"></span></div><div class="itemTR" id="1463700576436039682_Row" dic='[]'><div style="display:inline-block;width:35%;" title="TIA-5-4-2" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>其他降糖药物</div><input placeholder="点击输入" class="Text" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463700576436039682" itemCode="TIA-5-4-2"><a id="1463700576436039682_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463700576436039682_Note"></span></div><div class="itemTR" id="1463700578549968897_Row" dic='[{"formItemId":1463700578549968897,"isDefault":0,"updateDate":1700188822000,"code":"y","id":1463700975670865921,"indNo":1,"isActive":1,"desc":"是"},{"formItemId":1463700578549968897,"isDefault":0,"updateDate":1700188822000,"code":"n","id":1463700976455200770,"indNo":2,"isActive":1,"desc":"否"}]'><div style="display:inline-block;width:35%;" title="TIA-5-5-1" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>患者是否伴发高血压</div><div class="RadioGroup" style="width:35%;border:0;display:inline-block;" id="1463700578549968897" itemCode="TIA-5-5-1"></div><a id="1463700578549968897_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463700578549968897_Note"></span></div><div class="itemTR" id="1463700580651315202_Row" dic='[{"formItemId":1463700580651315202,"isDefault":0,"updateDate":1700188822000,"code":"a","id":1463700978007093250,"indNo":1,"isActive":1,"desc":"血管紧张素转换酶抑制剂：常用药物有 巯甲丙脯酸、依那普利、卡托普利、盐酸贝那普利、赖诺普利、福辛普利钠、西拉普利、培哚普利、喹那普利、群多普利、地拉普利、雷米普利、咪达普利、莫西普利等"},{"formItemId":1463700580651315202,"isDefault":0,"updateDate":1700188822000,"code":"b","id":1463700978791428097,"indNo":2,"isActive":1,"desc":"钙拮抗剂：常用药物有 异搏定、硫氮卓酮及硝苯吡啶、尼群地平、硝苯地平、尼卡地平、非洛地平缓释片、氨氯地平、地尔硫卓、拉西地平片、尼莫地平等"},{"formItemId":1463700580651315202,"isDefault":0,"updateDate":1700188822000,"code":"c","id":1463700979571568642,"indNo":3,"isActive":1,"desc":"血管扩张剂 ：常用药物有：硝普钠、长压定、肼苯达嗪"},{"formItemId":1463700580651315202,"isDefault":0,"updateDate":1700188822000,"code":"d","id":1463700980364292097,"indNo":4,"isActive":1,"desc":"中枢性交感神经抑制药：常用药物有 可乐宁、甲基多巴、利美尼定、莫索尼定等"},{"formItemId":1463700580651315202,"isDefault":0,"updateDate":1700188822000,"code":"e","id":1463700981203152898,"indNo":5,"isActive":1,"desc":"交感神经节阻滞剂：常用药物有 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利尿降压药：常用药物有双氢克尿噻、氯噻酮、速尿、氨苯喋啶、螺内酯、吲达帕胺、氢氯噻嗪、复方阿米洛利等"},{"formItemId":1463700580651315202,"isDefault":0,"updateDate":1700188822000,"code":"oth","id":1463700985170964482,"indNo":10,"isActive":1,"desc":"其他降压药物"},{"formItemId":1463700580651315202,"isDefault":0,"updateDate":1700188822000,"code":"UTD","id":1463700985988853762,"indNo":11,"isActive":1,"desc":"高血压患者出院时,无降压药物继续使用的记录"},{"formItemId":1463700580651315202,"isDefault":0,"updateDate":1700188822000,"code":"j","id":1491953748556156929,"indNo":9,"isActive":1,"desc":"其他：可乐定、甲基多巴、利美尼定、莫索尼定、利血平、降压乐、胍乙啶、氨氯地平/缬沙坦片、缬沙坦/氢氯噻嗪片、（利血平、双氢克尿噻、双肼苯哒嗪等）、（利血平双肼苯哒嗪、珍珠母、车前子、夏天无成分等）、（可乐宁、双肼苯哒嗪、双氢克尿噻等）、（可乐宁、双氢克尿塞、野菊花、珍珠层、槐米等）、（心得安、双肼苯哒嗪、速尿等)、（胍乙啶、罗布麻、双氢克尿塞、肼苯哒嗪、汉防己等）、拉贝洛尔、阿罗洛尔、卡维地洛、氯沙坦、缬沙坦、依贝沙坦、替米沙坦、依普沙坦、坎地沙坦、奥美沙坦等"}]'><div style="display:inline-block;width:35%;" title="TIA-5-5" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>选择降压药物</div><div class="CheckGroup" style="width:35%;border:0;display:inline-block;" id="1463700580651315202" itemCode="TIA-5-5"></div><a id="1463700580651315202_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463700580651315202_Note"></span></div><div class="itemTR" id="1463700582769438722_Row" dic='[]'><div style="display:inline-block;width:35%;" title="TIA-5-5-2" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>其他降压药物</div><input placeholder="点击输入" class="Text" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463700582769438722" itemCode="TIA-5-5-2"><a id="1463700582769438722_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463700582769438722_Note"></span></div></div><div class="itemCat" id="Title6" onclick="objScreen.toggle('TIA-6 卒中重点护理评估和健康教育')"><span style="background-color:#027DFF">&nbsp;&nbsp;</span>&nbsp;&nbsp;TIA-6 卒中重点护理评估和健康教育</div><div title="TIA-6 卒中重点护理评估和健康教育"><p title="入院时重点护理评估有记录" 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style="display:inline-block;width:35%;" title="TIA-6-1-1" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>行走评估结果</div><input placeholder="点击选择" class="Combo" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463700584874979330" itemCode="TIA-6-1-1"><a id="1463700584874979330_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463700584874979330_Note"></span></div><div class="itemTR" id="1463700587014074369_Row" 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dic='[{"formItemId":1463700589144780802,"isDefault":0,"updateDate":1700188822000,"code":"def","id":1463701001725882369,"indNo":1,"isActive":1,"desc":"请选择"},{"formItemId":1463700589144780802,"isDefault":0,"updateDate":1700188822000,"code":"a","id":1463701002485051393,"indNo":2,"isActive":1,"desc":"正常饮食"},{"formItemId":1463700589144780802,"isDefault":0,"updateDate":1700188822000,"code":"b","id":1463701003281969154,"indNo":3,"isActive":1,"desc":"软食"},{"formItemId":1463700589144780802,"isDefault":0,"updateDate":1700188822000,"code":"c","id":1463701004070498305,"indNo":4,"isActive":1,"desc":"半流食"},{"formItemId":1463700589144780802,"isDefault":0,"updateDate":1700188822000,"code":"d","id":1463701004854833153,"indNo":5,"isActive":1,"desc":"流食"},{"formItemId":1463700589144780802,"isDefault":0,"updateDate":1700188822000,"code":"e","id":1463701006004072449,"indNo":6,"isActive":1,"desc":"管饲食"},{"formItemId":1463700589144780802,"isDefault":0,"updateDate":1700188822000,"code":"f","id":1463701006821961729,"indNo":7,"isActive":1,"desc":"禁食水"},{"formItemId":1463700589144780802,"isDefault":0,"updateDate":1700188822000,"code":"UTD","id":1463701007602102273,"indNo":8,"isActive":1,"desc":"无法确定或无记录"}]'><div 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title="实施戒烟建议/戒烟治疗有记录" class="itemsubCat">实施戒烟建议/戒烟治疗有记录</p><div class="itemTR" id="1463700593569771521_Row" dic='[{"formItemId":1463700593569771521,"isDefault":0,"updateDate":1700188822000,"code":"y","id":1463701012509437954,"indNo":1,"isActive":1,"desc":"近一年内有吸烟史，烟草使用状况"},{"formItemId":1463700593569771521,"isDefault":0,"updateDate":1700188822000,"code":"n","id":1463701013377658882,"indNo":2,"isActive":1,"desc":"患者近一年内无吸烟史"}]'><div style="display:inline-block;width:35%;" title="TIA-6-3-1" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>吸烟史</div><div class="RadioGroup" style="width:35%;border:0;display:inline-block;" id="1463700593569771521" itemCode="TIA-6-3-1"></div><a id="1463700593569771521_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463700593569771521_Note"></span></div><div class="itemTR" id="1463700595700477953_Row" dic='[{"formItemId":1463700595700477953,"isDefault":0,"updateDate":1700188822000,"code":"def","id":1463701015218958337,"indNo":1,"isActive":1,"desc":"请选择"},{"formItemId":1463700595700477953,"isDefault":0,"updateDate":1700188822000,"code":"a","id":1463701016066207746,"indNo":2,"isActive":1,"desc":"入院前30天里每天抽的烟平均5支或更多的香烟（≥1/4包）"},{"formItemId":1463700595700477953,"isDefault":0,"updateDate":1700188822000,"code":"b","id":1463701016959594498,"indNo":3,"isActive":1,"desc":"入院前30天每天抽的烟平均4支或更少的香烟（<1/4包）"},{"formItemId":1463700595700477953,"isDefault":0,"updateDate":1700188822000,"code":"c","id":1463701017735540738,"indNo":4,"isActive":1,"desc":"病人入院前的30天已不使用任何形式烟草"},{"formItemId":1463700595700477953,"isDefault":0,"updateDate":1700188822000,"code":"d","id":1463701018616344578,"indNo":5,"isActive":1,"desc":"但无法确定从医疗记录文件患者的是否吸烟"}]'><div style="display:inline-block;width:35%;" title="TIA-6-3-2" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>吸烟程度评估有记录</div><input 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id="1463700642777346050" itemCode="CM-4-6"><a id="1463700642777346050_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463700642777346050_Note"></span></div></div><div class="itemCat" id="Title10" onclick="objScreen.toggle('TIA-10 患者对服务的体验与评价')"><span style="background-color:#027DFF">&nbsp;&nbsp;</span>&nbsp;&nbsp;TIA-10 患者对服务的体验与评价</div><div title="TIA-10 患者对服务的体验与评价"><p title="一般信息" class="itemsubCat">一般信息</p><div class="itemTR" id="1463700644912246785_Row" dic='[{"formItemId":1463700644912246785,"isDefault":1,"updateDate":1701949577000,"code":"y","updateUser":"batch","id":1463701126779056130,"indNo":1,"isActive":1,"desc":"是"},{"formItemId":1463700644912246785,"isDefault":0,"updateDate":1700188822000,"code":"n","id":1463701127559196673,"indNo":2,"isActive":1,"desc":"否"}]'><div style="display:inline-block;width:35%;" title="CM-5-1" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>患者是否对服务的体验与评价</div><div 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id="1463700662092115970_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463700662092115970_Note"></span></div><div class="itemTR" id="1463700664306708481_Row" dic='[{"formItemId":1463700664306708481,"isDefault":0,"updateDate":1700188822000,"code":"def","id":1463701161528864769,"indNo":1,"isActive":1,"desc":"请选择"},{"formItemId":1463700664306708481,"isDefault":1,"updateDate":1701949655000,"code":"a","updateUser":"batch","id":1463701162300616706,"indNo":2,"isActive":1,"desc":"患者强烈同意医生护士在离院时理解了他们的知情告知"},{"formItemId":1463700664306708481,"isDefault":0,"updateDate":1700188822000,"code":"b","id":1463701163089145858,"indNo":3,"isActive":1,"desc":"患者同意医生护士在离院时理解了他们的知情告知"},{"formItemId":1463700664306708481,"isDefault":0,"updateDate":1700188822000,"code":"c","id":1463701163848314882,"indNo":4,"isActive":1,"desc":"患者在离院时不理解医生护士的知情告知"}]'><div style="display:inline-block;width:35%;" title="CM-5-2-10" class="itemDescTD"><span name="isNeeded" 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20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463700666462580737_Note"></span></div></div><div class="itemCat" id="Title11" onclick="objScreen.toggle('TIA-11 平均住院日与费用')"><span style="background-color:#027DFF">&nbsp;&nbsp;</span>&nbsp;&nbsp;TIA-11 平均住院日与费用</div><div title="TIA-11 平均住院日与费用"><p title="一般信息" class="itemsubCat">一般信息</p><div class="itemTR" id="1463700668597481473_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-6-1" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>住院总费用</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463700668597481473" itemCode="CM-6-1"><a id="1463700668597481473_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463700668597481473_Note"></span></div><div class="itemTR" id="1463700670753353730_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-6-2" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>住院总费用其中自付金额</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463700670753353730" itemCode="CM-6-2"><a id="1463700670753353730_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463700670753353730_Note"></span></div><div class="itemTR" id="1463700672884060162_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-6-3" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>一般医疗服务费</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463700672884060162" itemCode="CM-6-3"><a id="1463700672884060162_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463700672884060162_Note"></span></div><div class="itemTR" id="1463700674997989378_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-6-4" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>一般治疗操作费</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463700674997989378" itemCode="CM-6-4"><a id="1463700674997989378_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463700674997989378_Note"></span></div><div class="itemTR" id="1463700677153861634_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-6-5" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>护理费</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463700677153861634" itemCode="CM-6-5"><a id="1463700677153861634_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463700677153861634_Note"></span></div><div class="itemTR" id="1463700679246819329_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-6-6" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>综合医疗服务类其他费用</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463700679246819329" itemCode="CM-6-6"><a id="1463700679246819329_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463700679246819329_Note"></span></div><div class="itemTR" id="1463700681331388417_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-6-7" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>病理诊断费</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463700681331388417" itemCode="CM-6-7"><a id="1463700681331388417_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463700681331388417_Note"></span></div><div class="itemTR" id="1463700683441123329_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-6-8" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>实验室诊断费</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463700683441123329" itemCode="CM-6-8"><a id="1463700683441123329_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463700683441123329_Note"></span></div><div class="itemTR" id="1463700685567635457_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-6-9" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>影像学诊断费</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463700685567635457" itemCode="CM-6-9"><a id="1463700685567635457_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463700685567635457_Note"></span></div><div class="itemTR" id="1463700687975165954_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-6-10" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>临床诊断项目费</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463700687975165954" itemCode="CM-6-10"><a id="1463700687975165954_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463700687975165954_Note"></span></div><div class="itemTR" id="1463700690063929345_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-6-11" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>非手术治疗项目费</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463700690063929345" itemCode="CM-6-11"><a id="1463700690063929345_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463700690063929345_Note"></span></div><div class="itemTR" id="1463700692190441473_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-6-12" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>其中：临床物理治疗费</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463700692190441473" itemCode="CM-6-12"><a id="1463700692190441473_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463700692190441473_Note"></span></div><div class="itemTR" id="1463700694337925121_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-6-13" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>手术治疗费</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463700694337925121" itemCode="CM-6-13"><a id="1463700694337925121_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463700694337925121_Note"></span></div><div class="itemTR" id="1463700696447660034_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-6-14" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>其中：麻醉费</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463700696447660034" itemCode="CM-6-14"><a id="1463700696447660034_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463700696447660034_Note"></span></div><div class="itemTR" id="1463700698565783553_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-6-15" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>其中：手术费</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463700698565783553" itemCode="CM-6-15"><a id="1463700698565783553_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463700698565783553_Note"></span></div><div class="itemTR" id="1463700700667129857_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-6-16" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>康复费</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463700700667129857" itemCode="CM-6-16"><a id="1463700700667129857_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463700700667129857_Note"></span></div><div class="itemTR" id="1463700702747504641_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-6-17" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>中医治疗费</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463700702747504641" itemCode="CM-6-17"><a id="1463700702747504641_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463700702747504641_Note"></span></div><div class="itemTR" id="1463700704878211073_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-6-18" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>西药费</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463700704878211073" itemCode="CM-6-18"><a id="1463700704878211073_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463700704878211073_Note"></span></div><div class="itemTR" id="1463700707063443457_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-6-19" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>其中：抗菌药物费</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463700707063443457" itemCode="CM-6-19"><a id="1463700707063443457_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463700707063443457_Note"></span></div><div class="itemTR" id="1463700709689077761_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-6-20" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>中成药费</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463700709689077761" itemCode="CM-6-20"><a id="1463700709689077761_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463700709689077761_Note"></span></div><div class="itemTR" id="1463700711886893058_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-6-21" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>中草药费</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463700711886893058" itemCode="CM-6-21"><a id="1463700711886893058_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463700711886893058_Note"></span></div><div class="itemTR" id="1463700713992433665_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-6-22" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>血费</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463700713992433665" itemCode="CM-6-22"><a id="1463700713992433665_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463700713992433665_Note"></span></div><div class="itemTR" id="1463700716106362882_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-6-23" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>白蛋白类制品费</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463700716106362882" itemCode="CM-6-23"><a id="1463700716106362882_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463700716106362882_Note"></span></div><div class="itemTR" id="1463700718253846529_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-6-24" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>球蛋白类制品费</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463700718253846529" itemCode="CM-6-24"><a id="1463700718253846529_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463700718253846529_Note"></span></div><div class="itemTR" id="1463700720376164354_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-6-25" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>凝血因子类制品费</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463700720376164354" itemCode="CM-6-25"><a id="1463700720376164354_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463700720376164354_Note"></span></div><div class="itemTR" id="1463700722548813826_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-6-26" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>细胞因子类制品费</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463700722548813826" itemCode="CM-6-26"><a id="1463700722548813826_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463700722548813826_Note"></span></div><div class="itemTR" id="1463700724683714562_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-6-27" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>检查用一次性医用材料费</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463700724683714562" itemCode="CM-6-27"><a id="1463700724683714562_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463700724683714562_Note"></span></div><div class="itemTR" id="1463700726847975426_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-6-28" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>治疗用一次性医用材料费</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463700726847975426" itemCode="CM-6-28"><a id="1463700726847975426_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463700726847975426_Note"></span></div><div class="itemTR" id="1463700729020624898_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-6-29" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>手术用一次性医用材料费</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463700729020624898" itemCode="CM-6-29"><a id="1463700729020624898_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463700729020624898_Note"></span></div><div class="itemTR" id="1463700731109388290_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-6-30" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>其他费</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463700731109388290" itemCode="CM-6-30"><a id="1463700731109388290_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463700731109388290_Note"></span></div></div></div></div><div id='anchor' class='anchor'><ul class='anchor-list'><li style='overflow:hidden;white-space:nowrap;'><div class='circle'></div><a href='#Title0'>基本信息</a></li><li style='overflow:hidden;white-space:nowrap;'><div class='circle'></div><a href='#Title1'>TIA-1 患者入院病情评估</a></li><li style='overflow:hidden;white-space:nowrap;'><div class='circle'></div><a href='#Title2'>TIA-2房颤患者的抗凝治疗</a></li><li style='overflow:hidden;white-space:nowrap;'><div class='circle'></div><a href='#Title3'>TIA-3双联抗血小板药物使用情况</a></li><li style='overflow:hidden;white-space:nowrap;'><div class='circle'></div><a href='#Title4'>TIA-4 评价血脂水平</a></li><li style='overflow:hidden;white-space:nowrap;'><div class='circle'></div><a href='#Title5'>TIA-5 出院时药物使用情况</a></li><li style='overflow:hidden;white-space:nowrap;'><div class='circle'></div><a href='#Title6'>TIA-6 卒中重点护理评估和健康教育</a></li><li style='overflow:hidden;white-space:nowrap;'><div class='circle'></div><a href='#Title7'>TIA-7 血管评价情况</a></li><li style='overflow:hidden;white-space:nowrap;'><div class='circle'></div><a href='#Title8'>TIA-8 住院期间为患者提供健康教育与出院时提供教育告知五要素情况</a></li><li style='overflow:hidden;white-space:nowrap;'><div class='circle'></div><a href='#Title9'>TIA-9 离院方式</a></li><li style='overflow:hidden;white-space:nowrap;'><div class='circle'></div><a href='#Title10'>TIA-10 患者对服务的体验与评价</a></li><li style='overflow:hidden;white-space:nowrap;'><div class='circle'></div><a href='#Title11'>TIA-11 平均住院日与费用</a></li></ul></div>
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